"Gardening in the City" Registration Form

1

Enter your FULL Name:* This field is required.

First Name

Last Name

2

Now enter your address of residence:* This field is required.

Street Address

Street Address Line 2

City

State

Zip Code

Country

3

Enter your e-mail Address:* This field is required.

example@example.com

4

Enter your mobile phone number:

Area Code

Phone Number

7

Do you currently own any live plants?

YESNO

8

What kind of plants do you own and where are they kept? (Please be as detailed as possible.)

9

If interested in indoor planting, how many windows do you have where the plant will be kept? (Number only)

10

(On a sunny day) Do you get full sunlight indoors all day?

YESNO

11

Where do you plan on growing your plants?

I will grow them indoors in a pot.

I will grow them outside in a tree bed.

I will grow them outside in my backyard.

I will grow them outside in a window box.

I will grow them outside on the stoop.

Other

12

How often do you prefer to water your plants?

I would prefer to water my plants once a day.

I would prefer to water my plants once a week.

I would prefer to water my plants once a month.

13

Do you want to grow herbs, vegetables, or green houseplants?Multiple answers accepted,

I want to grow herbs.

I want to grow vegetables.

I want to grow green houseplants.

14

Do you want to grow your plants from seeds or 4” seedlings?

I want to grow my plants from seeds.

I want to grow my plants from 4" seedlings.

15

Do you have seeds or plants to share?

YESNO

16

There is one more step to complete your registration. When you press "Submit", you will be re-directed to a different page. Here is where you pay for your "ticket" to this series. The cost is $12 per person. Payments can be made via credit card. Your registration is NOT complete until your "ticket" is successfully purchased.* This field is required.Select the option below to continue.

I understand. Please re-direct me to the next page to pay for my "ticket".